Walters, Christa D

Walters, Christa D is an sole proprietor health care provider with primary practice located at 311 W High St , Lebanon KY 40033-1427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walters, Christa D can be contacted via phone (270) 692-2774.

Contact Information

Primary practice address
311 W High St Lebanon KY 40033-1427
Phone: (270) 692-2774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3013503 Kentucky

Profile Details

NPI number 1710549282
LBN Legal business name Walters, Christa D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2019
Last updated Jul 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710549282 NPPES
Kentucky MEDICAID 7100660330
Kentucky Other 14627550

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